Organization Active NPI

Cody W Davis, PA

  • Professional Counselor
  • Fayetteville, AR
National Provider Identifier
1821770421
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CODY W DAVIS, PA
Doing business as
Pine Hills Counseling
Practice address
5 W Mountain St Ste 305
Fayetteville, AR 72701-6068
Phone
(479) 453-6287
Fax
(479) 228-5216
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cody W Davis, LPC-SNPI 1285906966
Title
President
Phone
(479) 453-6287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5 W Mountain St Ste 305
Fayetteville, AR 72701-6068

Mailing address

12020 Delaney CT
Farmington, AR 72730-0009
Phone (479) 453-6287

Other names 1

  • Pine Hills Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

910 S Rogers St
Ste H
Clarksville, AR 72830

5 W Mountain St
Ste 305
Fayetteville, AR 72701
Phone (479) 453-6287

910 W Main Pl
Ste I
Russellville, AR 72801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1821770421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 DELANEY CT",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727300009",
            "telephone_number": "479-453-6287",
            "fax_number": "479-228-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MOUNTAIN ST STE 305",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016068",
            "telephone_number": "479-453-6287",
            "fax_number": "479-228-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY W DAVIS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-453-6287",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Hills Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.